Falk Rodney H
Section of Cardiology, Boston University School of Medicine, Boston, MA 02118, USA.
Am J Geriatr Cardiol. 2002 Nov-Dec;11(6):353-6. doi: 10.1111/j.1076-7460.2002.00067.x.
The ventricular response in untreated patients with atrial fibrillation often exceeds 120 beats/min at rest. Digoxin can slow this rate, but its efficacy during exertion may be limited. Alternatives, or additions, to digoxin therapy include the beta blockers and diltiazem or verapamil. This review discusses the role of digoxin in relation to these other drugs, with particular reference to the elderly population.
未经治疗的房颤患者静息时心室率常超过120次/分钟。地高辛可减慢该心率,但其在运动时的疗效可能有限。地高辛治疗的替代药物或补充药物包括β受体阻滞剂、地尔硫䓬或维拉帕米。本综述讨论了地高辛相对于这些其他药物的作用,尤其涉及老年人群。